Billing Specialist-Emergency Department-FT-1st shift

HH Health System • Huntsville, AL

6d • Onsite

About The Position

The Certified Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, analyzes expected reimbursement information and collections of government and commercial insurance payers. Additionally, reviews EOB’s and determines accurate account balance, detailed denial description, and applicable appeal process. Medical billing certification required. The ideal candidate must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. Must be able to demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims. Must demonstrate excellent written and verbal communication skills.

Requirements

• Medical billing certification required
• Possess critical thinking skills
• Understanding of Medicare, Medicaid eligibility requirements
• Understanding of commercial insurance payer payment methods
• Ability to correctly record contractual adjustments base on payer contracts or government regulations
• Ability to demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims
• Demonstrate excellent written and verbal communication skills
• High school diploma
• Possess CCS credentials
• In-depth knowledge of medical and anatomical terminology
• In-depth knowledge of reimbursement principles
• In-depth knowledge of health record content
• In-depth knowledge of sequencing of diagnoses
• In-depth knowledge of the use of coding software

Responsibilities

• Ensuring accurate billing
• Timely submission of electronic and/or paper claims
• Monitoring claim status
• Researching rejections and denials
• Documenting related account activities
• Analyzing expected reimbursement information and collections of government and commercial insurance payers
• Reviewing EOB’s and determining accurate account balance, detailed denial description, and applicable appeal process

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED